Individual provider Active NPI

Bruce Todd Adelman, MD

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1821083080
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301043707 Issued in MI
Practice address
2799 W Grand Blvd FL 3
Detroit, MI 48202-2608
Phone
(313) 916-8078
Fax
(313) 916-9867
NPI assigned
Sep 14, 2005
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301043707 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd FL 3
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd FL 3
Detroit, MI 48202-2608
Phone (313) 916-8078

Other identifiers 1

IdentifierTypeStateIssuer
102652312MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address badelman16994@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080607000110 MI Practitioner - Anesthesiology 8820040686 Reassigns benefits to 4 organizations
I20220427000152 TX Practitioner - Anesthesiology 8820040686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301043707MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Anesthesiology CurrentSince Jun 1, 2008 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 11, 2022 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Feb 1, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Henry Ford West Bloomfield Hospital CurrentSince Mar 15, 2009 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford West Bloomfield Hospital Anesthesiology CurrentSince Mar 15, 2009 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Apr 1, 2019 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Wa Foote Memorial Hospital Inc CurrentSince Apr 1, 2019 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Jun 1, 2008 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
Fl 3
Detroit, MI 48202
Phone (313) 916-8078

1201 E Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 204-4841

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1200 E Michigan Ave
Ste 370
Lansing, MI 48912
Phone (517) 364-5300

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Interoperability endpoints

  • Direct secure messaging: badelman16994@direct.hfhs.org
  • FHIR API: https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1821083080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD FL 3",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-8078",
            "fax_number": "313-916-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD FL 3",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-8078",
            "fax_number": "313-916-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "BRUCE",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301043707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102652312",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "badelman16994@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6777 W Maple Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.